Active NPI
Katherine Elizabeth Herzog, M.D.
- Physical Medicine & Rehabilitation Physician
- Chesterfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2013027011
- Practice address
- 14855 N Outer 40 Rd
Chesterfield, MO 63017-2026 - Phone
- (702) 899-0595
- Fax
- (702) 977-1496
- NPI assigned
- Jul 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | P7647 | TX | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 2013027011 | MO | Primary |
Addresses
Primary practice location
14855 N Outer 40 Rd
Chesterfield, MO 63017-2026
Mailing address
PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595
Other practice location 1
221 Mahalani St
Wailuku, HI 96793-2526
Phone (872) 231-3162
Other practice location 2
4105 Briargate Pkwy Ste 110
Colorado Springs, CO 80920-3482
Phone (872) 231-3162
Other practice location 3
4801 W Peterson Ave Ste 618
Chicago, IL 60646-5728
Phone (872) 231-3162
Other practice location 4
1904 Wellspring Ave SE Ste 109
Rio Rancho, NM 87124-4885
Phone (872) 231-3162
Other practice location 5
4534 W Gate Blvd Ste 114
Austin, TX 78745-1468
Phone (872) 231-3162
Other practice location 6
100 Joyce Dr
Brunswick, GA 31525-9491
Phone (872) 231-3162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356504385 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL, HI, CO, GA, NM, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- University of Missouri, Kansas City, School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 S Belt W
Belleville, IL 62220-2503
Phone (618) 277-7700
103 Hospital Loop NE
Albuquerque Heights Healthcare and Rehab
Albuquerque, NM 87109-2115
Phone (505) 348-8300
11020 Dessau Rd
Austin, TX 78754-2053
Phone (512) 873-2244
1362 S Main St
Ellijay, GA 30540-5410
Phone (706) 276-4708
221 Mahalani St
Wailuku, HI 96793-2526
Phone (312) 635-0973
4534 W Gate Blvd
Suite 114
Austin, TX 78745-1468
Phone (512) 614-4612
7068 S Outer
364 Delmar Gardens of O'Fallon
O'Fallon, MO 63368-7757
Phone (312) 635-0973
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.28 of 100
- Quality
- 73.83
- Improvement activities
- 40
- Cost
- 45.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehab Consultants LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Integrated Rehab Consultants Colorado LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Integrated Rehab Consultants Colorado LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Integrated Rehab Consultants LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Integrated Rehab Consultants Colorado LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Mercy Hospitals East Communities | Past | Accepting new patients |
Locations (25 of 36)
2121 Mesa Dr
Boulder, CO 80304
Phone (303) 422-4037
4105 Briargate Pkwy
Ste 110
Colorado Springs, CO 80920
Phone (719) 282-0369
290 S Monaco Street Pkwy
Denver, CO 80224
Phone (303) 355-2525
11750 W 2nd Pl
Ste 230
Lakewood, CO 80228
Phone (303) 232-2001
100 Joyce Dr
Brunswick, GA 31525
Phone (912) 267-9621
812 S Park St
Ste 2
Carrollton, GA 30117
Phone (770) 214-8282
1362 S Main St
Ellijay, GA 30540
Phone (706) 276-2417
1677 Pensacola St
Honolulu, HI 96822
Phone (808) 537-3371
221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290
101 S Belt W
Belleville, IL 62220
Phone (618) 227-2700
4801 W Peterson Ave
Ste 618
Chicago, IL 60646
Phone (773) 777-9494
401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940
335 Illinois St
Crystal Lake, IL 60014
Phone (815) 459-7791
701 N La Grange Rd
La Grange Pk, IL 60526
Phone (708) 681-3200
3065 William St
Ste 205
Cape Girardeau, MO 63703
Phone (573) 334-2000
14855 North Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 532-0150
15197 Clayton Rd
Chesterfield, MO 63017
Phone (636) 394-7515
1200 Graham Rd
Florissant, MO 63031
Phone (314) 383-6555
1201 Garden Plaza Dr
Florissant, MO 63033
Phone (314) 831-3752
250 S New Florissant Rd
Florissant, MO 63031
Phone (314) 830-7950
206 N Main St
O Fallon, MO 63366
Phone (314) 495-8887
7068 S Outer 364
O Fallon, MO 63368
Phone (636) 240-6100
35 Sugar Maple Ln
Saint Charles, MO 63303
Phone (636) 946-4718
3520 Chouteau Ave
Saint Louis, MO 63103
Phone (314) 368-3422
13230 Manchester Rd
Saint Louis, MO 63131
Phone (314) 480-5259
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1528379195
GA, HI, MO, NM, TX
-
- Physical Medicine & Rehabilitation Physician
- Parker, CO
- NPI 1104398106
-
- Physical Medicine & Rehabilitation Physician
- Colorado Springs, CO
- NPI 1033004163
-
- Physical Medicine & Rehabilitation Physician
- Aurora, CO
- NPI 1699627323
-
- Physical Medicine & Rehabilitation Physician
- Baltimore, MD
- NPI 1316829146
-
- Rural Health Clinic/Center
- Washington, MO
- NPI 1104912997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1356504385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74008272",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606748272",
"telephone_number": "702-899-0595",
"fax_number": "702-977-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14855 N OUTER 40 RD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630172026",
"telephone_number": "702-899-0595",
"fax_number": "702-977-1496"
}
],
"practiceLocations": [
{
"address_1": "221 Mahalani St",
"address_purpose": "LOCATION",
"city": "Wailuku",
"state": "HI",
"postal_code": "967932526",
"country_code": "US",
"telephone_number": "872-231-3162",
"fax_number": "702-977-1496",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4105 BRIARGATE PKWY STE 110",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809203482",
"country_code": "US",
"telephone_number": "872-231-3162",
"fax_number": "702-977-1496",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4801 W Peterson Ave Ste 618",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606465728",
"country_code": "US",
"telephone_number": "872-231-3162",
"fax_number": "702-977-1496",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1904 Wellspring Ave SE Ste 109",
"address_purpose": "LOCATION",
"city": "Rio Rancho",
"state": "NM",
"postal_code": "871244885",
"country_code": "US",
"telephone_number": "872-231-3162",
"fax_number": "702-977-1496",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4534 W Gate Blvd Ste 114",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787451468",
"country_code": "US",
"telephone_number": "872-231-3162",
"fax_number": "702-977-1496",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Joyce Dr",
"address_purpose": "LOCATION",
"city": "Brunswick",
"state": "GA",
"postal_code": "315259491",
"country_code": "US",
"telephone_number": "872-231-3162",
"fax_number": "702-977-1496",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERZOG",
"first_name": "KATHERINE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "P7647",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MO",
"license": "2013027011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356504385",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.